基于“升清降浊”探讨针刺治疗失眠的取穴思路

Based on“ascending clear and descending turbidity”,the idea of acupoint selection for acupuncture treatment of insomnia was discussed

失眠是常见的神经系统疾病之一,其严重影响患者的生活质量。失眠与气机升降失常有关,在“升清降浊”理论指导下,提出“首先降浊、重视升清、活转枢轴、不忘调神”的治疗原则,降浊取穴内关、中脘、三阴交,升清取穴百会、大横、气海、足三里,枢轴取穴天枢,调神取穴百会、神庭、神门、三阴交。诸穴相伍发挥清升浊降,神安其位的作用,以达治病求本的目的,为失眠的治疗拓宽思路。

AInsomniais one of the common neurological diseases,which seriously affects the quality of life of patients.Insomnia is related to the disorder of ascending and descending of qi activity.Under the guidance of the theory of“ascending clear and descending turbidity”,the treatment principle of“first descending turbidity,attaching importance to ascending clear,activating pivot,and not forgetting to regulate spirit”is put forward.The acupoints of descending turbidity are Neiguan(PC6),Zhongwan(CV12),Sanyinjiao(SP6);the acupoints of ascending clear are Baihui(GV20),Daheng(SP15),Qihai(CV6),Zusanli(ST36);the acupoints of pivot is Tianshu(ST25);the acupoints of regulating spirit are Baihui(GV20),Shenting(GV24),Shenmen(HT7),Sanyinjiao(SP6).The combination of various acupoints plays the role of clearing ascending,turbid descending,and tranquilizing the position,so as to achieve the purpose of treating the disease and broaden the thinking for the treatment of insomnia.